宫颈妊娠超声图像特点在治疗方案选择中的价值

Cervical pregnancy ultrasound image characteristics and its value in treatment options

目的探讨宫颈妊娠超声图像特点在临床治疗方案选择中的价值。方法回顾2005年7月至2015年2月30例宫颈妊娠患者的临床资料,超声检测妊娠囊或包块及其周围血流情况,并根据血流情况决定治疗方案,观察治疗效果。结果 30例中胎囊型24例,包块型6例。29例均先给予甲氨蝶呤(MTX)50 mg/m2杀胚治疗,其中15例少血流型宫颈妊娠采用MTX+吸宫或清宫术的治疗方案,14例富血流型宫颈妊娠采用MTX+宫腔镜下病灶电切术的治疗方案,均治疗成功,保留子宫。1例患者因合并子宫多发肌瘤,采取全子宫切除术治疗。结论宫颈妊娠超声图像特点为临床及时选择正确的治疗方案提供重要依据。

Objective To explore the cervical pregnancy ultrasound image characteristics and its clinical value in treatment options.Methods Between July 2005 to February 2015, clinical data of 30 patients with cervical pregnancy was retrospec-tively reviewed.They were classified based on if gestational sac exist in cervical canal by ultrasonography.Treatment plan and its efficacy were determined according to blood flow around gestational sac or body.Results Among 30 cases, 24 cases had gestational sac-type and 6 cases had mass-type.29 cases were first given methotrexate （ MTX） 50 mg/m2 to kill embryo：15 cases with poor blood flow type cervical pregnancy received MTX ＋suction;14 cases with rich blood flow type cervical pregnancy received MTX ＋electrical resection under hysteroscopy.All patients were successfully treated with pre-served uterus.One patient was treated with total hysterectomy due to multiple uterine fibroids.Conclusion Cervical preg-nancy ultrasound images provide important basis for correct treatment options.